Active NPI
University Dental Center
- General Practice Dentistry
- Fairbanks, AK
National Provider Identifier
1447486402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 308
- Legal business name
- UNIVERSITY DENTAL CENTER
- Practice address
- 570 University Ave Ste a
Fairbanks, AK 99709-3641 - Phone
- (907) 479-2206
- Fax
- (907) 479-6847
- NPI assigned
- Jun 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Paul Bast, D.D.S.
- Title
- Dentist
- Phone
- (907) 479-2206
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 308 | AK | Primary |
Addresses
Primary practice location
570 University Ave Ste a
Fairbanks, AK 99709-3641
Mailing address
570 University Ave Ste a
Fairbanks, AK 99709-3641
Phone (907) 479-2206
National Provider Directory
National Provider DirectoryLocations
570 University Ave
#A
Fairbanks, AK 99709
Phone (907) 479-2206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244073600000",
"number": "1447486402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 UNIVERSITY AVE STE A",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093641",
"telephone_number": "907-479-2206",
"fax_number": "907-479-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 UNIVERSITY AVE STE A",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093641",
"telephone_number": "907-479-2206",
"fax_number": "907-479-6847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A",
"authorized_official_last_name": "BAST",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "907-479-2206",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.